What Should I Do if I Still Look Fat After Liposuction?

i did liposuction about 6mths ago... but i still look fat even if i exercise regularly... is there something else i can do? should i do another liposuction again?

Doctor Answers 17

Liposuction is all about technique and patient expectations

It would be interesting to see some pre- and post-operative photos, and to learn what your expectations of the result of your liposuction procedure were - before you had the surgery.

It may be that your surgeon undertreated your contour abnormalities. Surgical results will vary based on your own tissues, the skill of the surgeon and the modality of liposuction that was used.

It might also be the case that your own expectations of the surgical result with liposuction were not realistic. You may have a great surgical result, but it does not meet your own expectations for what a 'great' result is.

This is tricky business. Hopefully the plastic surgeon that treated you spent some time assessing your expectations for the procedure, and informed you if those expectations were realistic or not.

Keep up the diet and exercise for another 6 months, and then consider revisiting your plastic surgeon again and ask him your question, 'What should I do if I still look fat after liposuction?'

Most Kindly.

Seattle Plastic Surgeon
4.8 out of 5 stars 65 reviews

If you are large, then multiple liposuctions may be needed.

Large patients may need several liposuctions to reduce the areas significantly.  Talk to your doc and discuss your desires with him.  It is not uncommon to do staged procedures to get to your end point.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 42 reviews

For the best liposuction results, have it when able to maintain steady diet and exercise

For the very best results from liposuction, this procedure should be performed when you are able to maintain a steady pattern of healthy diet and exercise. In other words, it is best not to do this procedure when you’re at your lowest weight ever. Instead, the procedure should be performed when you are at a stable weight, with diet and exercise patterns that you know you will be able to maintain consistently. If this is the case, you are unlikely to ever gain a disproportionate amount of fat in any treated area.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Liposuction is not a weight reduction procedure.

Liposuction will not make fat people thin.  It is for changing contour.  5 liters of liposuction, which is considered a massive amount, is less than 10 pounds.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Liposuction helps shape contours.

Liposuction helps to shape your contour.  The best candidates for liposuction are those that have localized pockets of fat in excess of other areas.  If you have generalized obesity before liposuction then it is generally hard to notice a significant difference.

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
4.9 out of 5 stars 271 reviews

Body fat after liposuction

Liposuction results depend on weight characteristics and surgical technique.  It is important to maintain a natural contour with liposuction, rather than absolute body fat. Speak to your surgeon about redo liposuction and combine this with diet and exercise. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Liposuction in stages

Sometimes liposuction needs to be done in stages. Liposuction is used to remove small fat deposits as well as contouring the body. Most people mistake this procedure for the easy way out of diet and exercise. I would recommend to consult with your plastic surgeon to see if you need another stage of liposuction.

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 75 reviews

Still "look fat" after liposuction?

Liposuction removes excess fat.  That's all it does.  When it is used on the ideal candidate, liposuction contours small "problem areas" (removing small saddle-bags, for instance).  But sometimes we do liposuction for people who aren't near their ideal body weights, too.  In this case, liposuction is used for debulking larger areas.  Liposuction will not make you lose weight and it will not make you thin.  It will only remove excess fat to extent that it can safely be done.  5L is typically the maximum we can safely remove at one time.  If you need more liposuction than that, it needs to be done in a separate surgical setting.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 42 reviews

Expectations with Liposuction

The ultimate goal for Liposuction should be to improve body contour by removing persistent fat not responsive to diet and exercise.  Liposuction is designed to improve bodily proportions by removing localized areas of bulging caused by fat under the skin.  As with any cosmetic surgery, the goal should be improvement rather than perfection. 

Joseph G. Bauer, MD, FACS
Atlanta Plastic Surgeon
4.3 out of 5 stars 23 reviews

Remaining Fat After Liposuction

Liposuction is performed to contour the body by removing stubborn areas of isolated fat, rather than as a means of weight loss. You will not see a significant change in weight after liposuction, instead you should see more pleasing contours such as more curve above your hip or a slimmer flank region. To maintain the results of liposuction surgery, you will need to maintain a proper diet and exercise plan. It is hard to determine your exact situation without seeing before and after pictures and talking to you in more detail, but if you feel that you did not achieve any difference with your liposuction surgery, I would revisit your plastic surgeon to talk about your options and realistic expectations.

Tarick K. Smiley, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 116 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.